NPIMap

Organization Active NPI

Chris Recknor, M.D. PC

  • Internal Medicine Physician
  • Gainesville, GA
National Provider Identifier
1609861137
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CHRIS RECKNOR, M.D. PC
Practice address
2350 Limestone Pkwy
Gainesville, GA 30501-2087
Phone
(770) 534-5154
Fax
(770) 503-0183
NPI assigned
Sep 12, 2005
Last updated
Dec 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Christopher P Recknor, M.D.NPI 1306832175
Title
Owner
Phone
(770) 534-5154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary
Rheumatology Physician 207RR0500X
Physical Medicine & Rehabilitation Physician 208100000X

Addresses

Primary practice location

2350 Limestone Pkwy
Gainesville, GA 30501-2087

Mailing address

PO Box 908063
Gainesville, GA 30501-0916
Phone (770) 534-5154

Other identifiers 1

IdentifierTypeStateIssuer
000680787HMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1609861137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 908063",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305010916",
            "telephone_number": "770-534-5154",
            "fax_number": "770-503-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 LIMESTONE PKWY",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012087",
            "telephone_number": "770-534-5154",
            "fax_number": "770-503-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS RECKNOR, M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "RECKNOR",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-534-5154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000680787H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.